The total amount of hospital waste depends on
the standard and specialization of the hospital. Cantitatea totala de
deseuri spitalicesti depinde de standard si specializare a spitalului. According to Gerig (1993) the average amount of hospital
waste can be calculated as (approximately): Potrivit Gerig (1993),
valoarea medie a deseurilor spitalicesti poate fi calculat ca (aproximativ):

Segregation of waste at the point of generation
is the most important activity for an effective hospital waste management; it
is the responsibility of waste procedure and should be done at the source of
waste generation. Segregarea a deseurilor la punctul de generatie este
cea mai importanta activitate pentru o gestionare eficienta a deseurilor
spitalicesti, este responsabilitatea procedurii de deseuri si ar trebui sa fie
facut la sursa de generare a deseurilor.

Segregation various from hospital to hospital
depending on treatment system and the policies practiced within the hospital.
diverse, de la spital la spital in functie de sistemul de tratare, precum si
politicile practicate in cadrul spitalului de segregare. Most of the hospital segregate their waste into three
categorize ie hazardous, non hazardous and sharps. Cele mai multe dintre
spital separa deseurile acestora in trei categorii si anume periculoase,
nepericuloase si obiecte ascutite. Suitable
containers or bags are placed in all location where the waste are generated.
containere potrivite sau pungi sunt plasate in toate locul unde deseurile sunt
generate.

According to WHO, 1999 following guidelines are
given to segregate the hospital waste. Potrivit OMS, 1999 indica
urmatoarele orientari de separare a deseurilor spitalicesti.

An effective and efficient management is of
vital importance in any health care delivery system. Un management
eficient si eficace este de o importanta vitala in orice sistem de livrare de
sanatate. Until recently, opinions available for
disposable of hospital waste were limited to incineration and in some countries
autoclaving. Pana de curand, disponibile pentru avize de unica folosinta
a deseurilor spitalicesti au fost limitate la incinerare si in unele tari
autoclavare. Both technologies have some
limitations in the management of current volumes and composition of hospital
waste stream in an environmentally sound matter. Ambele tehnologii au
unele limitari in gestionarea volumelor curente si compozitia de flux de
deseuri spital intr-o chestiune ecologic. The basic
approach to waste management is to reduce the quantity of waste at source as
far as practicable. Abordarea de baza pentru gestionarea deseurilor este
de a reduce cantitatea de deseuri la sursa, pe cat posibil. Waste should be recycled whenever feasible with due
regards to environmental considerations to reduce the quantity of material
entering the waste system. Deseurile ar trebui sa fie reciclate ori de
cate ori este posibil, cu privire la cauza consideratiilor de mediu pentru a
reduce cantitatea de material care intra in sistemul de deseuri.

The
volume and weight of the organic waste are reduced to a great extent.
Volumul si greutatea deseurilor organice sunt reduse in mare masura.

Humidity
up to 35 per unit is no problem for the process. Umiditatea de pana
la 35 per unitate este nici o problema pentru proces.

Protection
of environment if fixing of emission limit couls be provided for
incinerators. Protectia mediului in cazul in care fixarea a couls
limita de emisie sa fie prevazute pentru incineratoare.

The
ash or inorganic material is sterile due to temperature in the burning
chamber and can be handled as household waste. Materialul de cenusa
sau anorganic este steril din cauza temperaturii in camera de ardere si
pot fi tratate ca deseuri menajere.

Chemical disinfection are the preferred
ttreatment for liquid infectious wastes, but it can also be use in treating
solid in infectious waste. dezinfectie chimice sunt preferate t tratament
pentru deseuri lichide infectioase, dar poate fi, de asemenea, utilizate in
tratarea deseurilor solide in infectioase. Chemical
treatment is used according to the type of microorganism degree of
contamination, type of disinfectant, contact time and other relevant factor
such as temperature, the biology of the microorganism etc. Tratamente
chimice este utilizat in functie de tipul de microorganism gradul de
contaminare, tip de timp dezinfectant, contact si alt factor relevant, cum ar
fi temperatura, biologia de microorganisme, etc

Each health care institution establishes “waste
management committee”, which will have function of implementing waste
management policy. Fiecare institutie de ingrijire a sanatatii
stabileste 'comitet de gestionare a deseurilor', care va avea functia
de punere in aplicare a politicii de gestionare a deseurilor.